Managed Care

 

Where's the growth? In HMOs and point-of-service plans

MANAGED CARE September 1996. © MediMedia USA
Managed Care Outlook

Where's the growth? In HMOs and point-of-service plans

MANAGED CARE September 1996. ©1996 Stezzi Communications

For all the rapid change in health care in the 1990s, some things will remain unchanged from 1990 to 2000, according to one recent analysis. The percentages of the market claimed by preferred-provider organizations and — perhaps surprisingly — by unmanaged fee-for-service medicine will finish the decade about where they started it, the analysis suggests. But HMOs and point-of-service plans, which give members the option of seeing out-of-network providers if they pay somewhat more, will have registered big gains by the turn of the century at the expense of the "managed fee-for-service" category, which includes traditional indemnity plans with some precertification requirements.

SOURCE: NATIONAL COMMITTEE FOR QUALITY HEALTH CARE, WASHINGTON, D.C., BASED ON DATA FROM THE AMERICAN ASSOCIATION OF HEALTH PLANS, WASHINGTON, D.C.; THE HEALTH INSURANCE ASSOCIATION OF AMERICA, WASHINGTON, D.C., AND LEWIN-VHI HEALTH CARE CONSULTANTS, FAIRFAX, VA.

Meetings

Private Health Insurance Exchanges Conference Washington, D.C. October 7–8, 2014
National Healthcare Facility Management Summit Palm Beach, FL October 16–17, 2014
National Healthcare CFO Summit Las Vegas, NV October 19–21, 2014
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Innovative Member Engagement Operations For Health Plans Las Vegas, NV October 20–21, 2014
4th Partnering With ACOs Summit Los Angeles, CA October 27–28, 2014
2014 Annual HEDIS® and Star Ratings Symposium Nashville, TN November 3–4, 2014
PCMH & Shared Savings ACO Leadership Summit Nashville, TN November 3–4, 2014
World Orphan Drug Congress Europe 2014 Brussels, Belgium November 12–14, 2014
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Healthcare Chief Medical Officer Forum Alexandria, VA November 13–14, 2014
Home Care Leadership Summit Atlanta, GA November 17–18, 2014